Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$4,860.05
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$4,860.05
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$24.81 with Cigna vs $4,860.05 with National Healthcare Solutions — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Cigna | LocalPlus | $24.81 | ↓ -99% |
| Cigna | NewBusiness | $24.84 | ↓ -99% |
| Cigna | OpenAccessPlus | $27.73 | ↓ -99% |
| Cigna | NetworkBenefit | $27.73 | ↓ -99% |
| Cigna | HMO | $27.73 | ↓ -99% |
| Cigna | AllOther | $35.07 | ↓ -99% |
| Cigna | IFP | $656.11 | ↓ -86% |
| Cigna | QHP | $680.41 | ↓ -86% |
| United | OptionsPPO | $821.35 | ↓ -83% |
| Imperial Insurance Company | MCR | $923.41 | ↓ -81% |
| Superior | HMO | $972.01 | ↓ -80% |
| Superior | EPO | $972.01 | ↓ -80% |
| Superior | ValueHMO | $972.01 | ↓ -80% |
| BCBS | MyBlueHealth | $1,161.55 | ↓ -76% |
| BCBS | BlueAdvantageHMO | $1,161.55 | ↓ -76% |
| Healthcare Highways | NarrowNetwork | $1,190.71 | ↓ -76% |
| Molina Healthcare | HIX | $1,215.01 | ↓ -75% |
| Evry Health | COMM | $1,253.89 | ↓ -74% |
| LifeCare Hospitals | MGMCR | $1,458.02 | ↓ -70% |
| LifeCare Hospitals | MGMCD | $1,458.02 | ↓ -70% |
| BCBS | BlueEssentials | $1,526.06 | ↓ -69% |
| BCBS | BlueEssentialsAccess | $1,526.06 | ↓ -69% |
| BCBS | EPOSOA | $1,603.82 | ↓ -67% |
| Healthcare Highways | CityofPlano | $1,642.70 | ↓ -66% |
| BCBS | PPO | $1,676.72 | ↓ -65% |
| Curative Administrators | COMM | $1,944.02 | ↓ -60% |
| Prominence Health Plan | HIX | $1,944.02 | ↓ -60% |
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -59% |
| BCBS | Traditional | $2,012.06 | ↓ -59% |
| United | GlobalBenefitPlan | $2,187.02 | ↓ -55% |
| City of McKinney | COMM | $2,187.02 | ↓ -55% |
| National ChoiceCare | WCOMP | $2,430.03 | ↓ -50% |
| Aetna | ASA | $2,454.33 | ↓ -49% |
| PC Texas Partners | WCOMP | $2,673.03 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $2,673.03 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $2,673.03 | ↓ -45% |
| Aetna | WCOMP | $2,673.03 | ↓ -45% |
| Averde Health, Inc | PPO | $2,818.83 | ↓ -42% |
| Aetna Coventry First Health | NONEXCLUSIVE | $2,857.71 | ↓ -41% |
| Aetna Coventry First Health | EXCLUSIVE | $2,857.71 | ↓ -41% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $3,159.03 | ↓ -35% |
| Coastal Comp Health Networks | WCOMP | $3,402.03 | ↓ -30% |
| Mega Life | MGMCRPPO | $3,402.03 | ↓ -30% |
| Multiplan | PHCSPrimaryNetwork | $3,645.04 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $3,645.04 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3,645.04 | ↓ -25% |
| USC Health Services | COMM | $3,888.04 | ↓ -20% |
| USA Managed Care | COMM | $3,888.04 | ↓ -20% |
| Multiplan | ComplementaryNetwork | $4,131.04 | ↓ -15% |
| Unicare | MCD | $4,860.05 | ↑ +0% |
| Independent Medical Systems | COMM | $4,860.05 | ↑ +0% |
| National Healthcare Solutions | COMM | $4,860.05 | ↑ +0% |
Visitor-reported prices
Comments
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,385.30 | $369.41 – $1,962.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,385.30 | $646.48 – $1,962.51 |
| Texas Health Hospital Frisco | Frisco | $208.50 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,385.30 | $392.50 – $1,962.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,944.23 | $7.62 – $55.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,717.67 | $12.00 – $2,147.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,944.23 | $11.89 – $85.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,944.23 | $8.00 – $55.57 |